A nine-gene signature identification and prognostic risk prediction for patients with lung adenocarcinoma using novel...

Lung adenocarcinoma (LUAD) is one the most prevalent cancer with high mortality and its risk stratification is limited due lack of reliable molecular biomarkers. Although several studies have been conducted to identify gene signature involved in LUAD progression, most currently used methods to select gene features did not fully consider the problem of the existence of strong pairwise gene correlations as it resulted inconsistency in gene election. Therefore, it is crucial to develop new strategy to identify reliable gene signatures that improve risk prediction.

In this study, novel feature selection strategy (1) univariate Cox regression model to select survival associated genes (2) integrating rigid Cox regression with Adaptive Lasso model to identify informative survival associated genes (3) stepwise Cox regression model to identify optimal gene signature and (4) prognostic risk predictive model for LUAD (PRPML) was constructed. The PRPML was developed-based on four machine learning (ML) methods including logistic regression (LR), K-nearest neighbors (KNN), support vector machine with the radial kernel (SVMR), and average neural network (Avnet). The PRPML model successfully stratified high-risk and low-risk groups of patients with LUAD in three datasets. The PRPML achieved an area under the curve (AUC) of 0.812 and 0.863 in the validation datasets. Finally, a nine-potential gene signature was found and showed great potential for risk prediction.

Our study demonstrates that the developed strategy identified a nine potential gene signature for accurate risk prediction performance and this signature could provide valuable clue into the understanding of the molecular mechanism of LUAD disease.